Clinical Documentation Improvement

Since 1887, Crouse Health has been a leading healthcare provider in Central New York. We've combined a family-friendly culture with a passion to provide the best care, which creates an environment where both patients and team members feel valued. Crouse Health offers a full range of general and specialty care, inpatient and outpatient services, as well as community health education and outreach programs.

Crouse's Health Information Management team is hiring a Clinical Documentation Improvement (CDI) Manager.

Pay Range:$115, $135,614.00 / annual

Schedule(s): Full Time, Monday-Friday, 8:00am-4:30pm.

CDI Manager Responsibilities:

• Undertakes the accountability of the accuracy, completeness, and timely submission of clinical documentation and supervises improvement efforts by providing direction during daily documentation evaluations.
• Monitors any correspondence between CDI specialists and clinical staff, whether written or verbal, when documentation inaccuracies arise due to illegibility, missing/conflicting information.
• Collaborates with the HIM Director to assign the urgency status for each query submission, and guides query assignments accordingly (e.g., whether they should be conducted verbally, concurrently, or retrospectively).
• Supervises any tracking efforts of queries submitted to clinical staff through oversight and maintenance of Crouse's tracking tool.
• Gathers information related to clinical documentation from CDI Specialists' assembled process reports and verifies any identified root causes of documentation errors for the HIM Director to report in departmental meetings.
• Attends departmental meetings with various revenue-generating departments where root causes of documentation errors are communicated (i.e., existing discrepancies in diagnoses), and contributes to resolution steps.
• Provides direction and support to CDI staff by adhering to an established educational plan to ensure quality performance and productivity standards are established and met.
• Assists the HIM Director in interviewing, hiring, and training employees, maintaining workflow among team members, evaluating performance, and promoting improvement of substandard performance.
• Maintains current knowledge of medical documentation associated rules and guidelines, and provides guidance on requirements set forth by the Centers for Medicare and Medicaid Services (CMS), other third-party payers, and the American Hospital Association (AHA).
• Ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements.
• Demonstrates knowledge of Crouse Health's safety policies and procedures by maintaining a safe environment.
• Attends and actively participates in hospital or medical performance improvement councils and committees as requested.
• Participates, collaborates and actively engages in meetings to achieve goals and mutually beneficial outcomes.
• Conducts regular staff meetings to disseminate hospital and/or department/division information and allows for discussion of staff concerns needing clarification or resolution.
• Assumes other duties as assigned by department leadership.

CDI Manager Requirements:

• Must be licensed as a Registered Nurse (RN) in New York State.
• Bachelor's degree in business, healthcare administration, or a related field required.
• At least 2-3 years of management experience required.
• At least 3-5 years of clinical documentation improvement experience required.
• At least 2-3 years of coding experience required.
• Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or Certified Coding Specialist (CCS) preferred.
• Working knowledge of MS Outlook.
• Extensive knowledge of all components related to clinical documentation.
• Understanding of clinical processes (complications, comorbidities, severity of illness, risk of mortality, case mix, secondary diagnoses).
• Ability to integrate clinical and coding processes to improve Crouse Health's health record integrity, regulatory compliance, and rates of reimbursement.

Benefits Overview:

• Medical, Dental, Vision, FSA, and 401K.
• Company paid life insurance.
• Tuition Assistance and Workforce Development Opportunities.
• Crouse Health Employee Assistance Program.
• Employee discounts on any Inpatient or Outpatient service, hospital cafeteria and pharmacy, and certain retailers.
• YMCA Subsidy program.

Location: Crouse Hospital · Health Information Management - 157
Schedule: Full-Time, Days, 8:00-4:30